Organization
BEYOND THE COUCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWELLE DAQUIN LPC (MENTAL HEALTH CLINICIAN)
(571) 310-0538
Entity
Organization
Contact information
Practice address
18138 CAMDENHURST DR, GAINESVILLE, VA 20155-6240
(571) 310-0538
Mailing address
18138 CAMDENHURST DR, GAINESVILLE, VA 20155-6240
(571) 310-0538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/31/2020
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